Diuretic renography findings in enterovesical fistula.

Kao, Pan-Fu; Tzen, Kai-Yuan; Chang, Phei‐Lang; Changchien, Chung Rong; Tsai, M F; You, Dong-Ling

doi:10.1259/bjr.70.832.9166082

Cited by 16 publications

(7 citation statements)

References 10 publications

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“…Radiographically a plain abdominal film is generally not helpful although when taken erect may show an air‐fluid level within the bladder. Intravenous urography, as with a plain film does not delineate the fistula, unless the patient has severe outflow obstruction [18]. Barium enema and computerized tomography have an important complimentary role giving important information as to the primary pathology [19].…”

Section: Discussionmentioning

confidence: 99%

Diagnostic lessons learnt from a series of enterovesical fistulae

et al. 2002

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Section: Discussionmentioning

confidence: 99%

Diagnostic lessons learnt from a series of enterovesical fistulae

et al. 2002

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“…Moreover, it may demonstrate the presence and location of a fistula indicated by the passing of the radioactive urine from the urinary system into the bowel. The severity of EVF can be determined by assessing the urine flow rate that passes through the fistula [51]. …”

Section: Imaging Techniques and Appearancesmentioning

confidence: 99%

Enterovesical Fistulae: Aetiology, Imaging, and Management

Gołąbek

Szymańska

Szopiński

et al. 2013

Gastroenterology Research and Practice

123

194

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Background and Study Objectives. Enterovesical fistula (EVF) is a devastating complication of a variety of inflammatory and neoplastic diseases. Radiological imaging plays a vital role in the diagnosis of EVF and is indispensable to gastroenterologists and surgeons for choosing the correct therapeutic option. This paper provides an overview of the diagnosis of enterovesical fistulae. The treatment of fistulae is also briefly discussed. Material and Methods. We performed a literature review by searching the Medline database for articles published from its inception until September 2013 based on clinical relevance. Electronic searches were limited to the keywords: “enterovesical fistula,” “colovesical fistula” (CVF), “pelvic fistula”, and “urinary fistula”. Results. EVF is a rare pathology. Diverticulitis is the commonest aetiology. Over two-thirds of affected patients describe pathognomonic features of pneumaturia, fecaluria, and recurrent urinary tract infections. Computed tomography is the modality of choice for the diagnosis of enterovesical fistulae as not only does it detect a fistula, but it also provides information about the surrounding anatomical structures. Conclusions. In the vast majority of cases, this condition is diagnosed because of unremitting urinary symptoms after gastroenterologist follow-up procedures for a diverticulitis or bowel inflammatory disease. Computed tomography is the most sensitive test for enterovesical fistula.

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“…Intravenous urography does not delineate the fistula unless the patient has severe outflow obstruction [43]. Barium enema imaging rarely reveals a fistula but can demonstrate the nature and extent of colonic disease [3]; the reported sensibility rate of barium enema is approximately 20% [4-6]-35% [11,44].…”

Section: Imagingmentioning

confidence: 99%

Enterovesical fistulas: diagnosis and management

2010

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Enterovesical fistula (EVF) is an abnormal communication between the intestine and the bladder. It represents a rare complication of inflammatory or neoplastic disease, and traumatic or iatrogenic injuries. The most common aetiologies are diverticular disease and colorectal carcinoma. Over 75% of affected patients describe pathognomonic features of pneumaturia, faecaluria and recurrent urinary tract infections. The diagnosis of EVF can be challenging, and frequently patients are monitored for months before the condition is recognised and treated effectively. Diagnostic tools include laboratory tests, imaging studies and endoscopic procedures. Although conservative management can be attempted in selected patients, in most cases, the treatment is mainly based on surgical interventions. Recently, the laparoscopic approach to EVF has been shown to be safe and effective. Although it is a rare condition in a general surgery setting, EVF is a challenging condition leading to high morbidity and mortality rates.

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Diuretic renography findings in enterovesical fistula.

Cited by 16 publications

References 10 publications

Diagnostic lessons learnt from a series of enterovesical fistulae

Diagnostic lessons learnt from a series of enterovesical fistulae

Enterovesical Fistulae: Aetiology, Imaging, and Management

Enterovesical fistulas: diagnosis and management

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